NPI | 1104827112 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: LA 021479) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: MS 18724) |
Enumeration Date | 2005-08-02 |
Last Update Date | 2014-11-24 |